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GAS STATION

BRAND
SALE RECEIPT

ADDRESS 1
ADDRESS 2
ADDRESS 3

DATE TIME
01/01/2012 4:01PM

INVOICE# 10101010
AUTH#
MASTERCARD
ACCOUNT NUMBER
************19

PUMP PRODUCT $/G


01 UNLD $2.9

GALLONS FUEL TOTAL


20.69 $ 60.00

THANK YOU!
GAS STATION
BRAND

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